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Organization

NEUROLOGY OF CALIFORNIA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAREY POWELLL (DIRECTOR)
(973) 882-3456
Entity
Organization

Contact information

Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(973) 882-3456
Mailing address
700 US HIGHWAY 46 STE 420, FAIRFIELD, NJ 07004-1532
(973) 882-3456
(973) 882-3450

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0591467
NJ
05
05952754
NY
Enumeration date
11/24/2021
Last updated
11/24/2021
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